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1619639473
LISA SULLIVAN
BEND, OR
NPI
1619639473
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: CA 17800)
Enumeration Date
2021-10-08
Last Update Date
2021-10-08
Business Address
Dr. LISA SULLIVAN PhD.
18625 MACALPINE LOOP
BEND, OR 97702-9366
Phone number: 760-672-1787
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Mailing Address
Dr. LISA SULLIVAN PhD.
18625 MACALPINE LOOP
BEND, OR 97702-9366
Phone number: 760-672-1787
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